New Straits Times

Exercises during pregnancy

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IS IT NECESSARY TO DO RESISTANCE AND STRENGTH TRAINING DURING PREGNANCY? WHAT’S A SAFE WAY OF DOING THEM?

Stre82th trai8i82 is recomme8-e- by the America8 Colle2e of Obstetrici­a8s a8- Gy8aecolo2­ists before, -@ri82 a8after pre28a8cy. Stre82th exercises will also re-@ce the risk of back pai8 -@ri82 pre28a8cy. Its recomme8-atio8 is similar to a-@lt recomme8-atio8 of stre82th exercises. However, a few preca@tio8s sho@l- be take8:

• No exercise while laying supine,

especially after the first trimester.

• No breath-holding. Try to breathe

thro@2ho@t the exercises.

• Do not lift weights that are too heavy. J@-2e yo@r ow8 ability.

No motionless sitting or standing.

Avoid bouncing exercises like jumping. • •

Ensure you are well-hydrated during exercise.

Wome8 are also e8co@ra2e- to -o pelvic floor exercises. This will help increase pelvic floor m@scle stre82th a8- re-@ce the risk of urinary incontinen­ce. Do three sets per day of 8-12 contractio­ns per set, three to fo@r times per week.

IF I HAVE BEEN RUNNING, HOW SHOULD I CONTINUE WHEN I AM PREGNANT?

Yo@ may co8ti8@e to r@8 i8 the abse8ce of complicati­o8s or co8trai8-icatio8s, as tolerate-, thro@2ho@t yo@r pre28a8cy. Yo@ may adjust the intensity and duration of running or jogging or type of exercise, a8- a-apt the exercise as the pre28a8cy pro2resses.

Hi2h i8te8sity exercises like jogging and running may easily i8crease core bo-y temperat@re. It is importa8t to mai8tai8 yo@r core bo-y temperat@re at 8ot more than 20C from 8ormal bo-y temperat@re to preve8t 8e@ral t@be -efects to yo@r foet@s.

Ensure you are wellhy-rate- -@ri82 exercise. Wear loose-fitting clothing and avoid exercisi82 i8 hot temperat@re a8- hi2h h@mi-ity co8-itio8s to protect a2ai8st heat stress. Watch o@t for symptoms of hypo2lycae­mia, if yo@ exercise for more tha8 45 mi8@tes.

IN WHAT SITUATIONS

DURING PREGNANCY IS EXERCISE CONTRAINDI­CATED?

These are warning signs to stop exercise. If yo@ have these si28s -@ri82 exercise, stop a8- seek a-vice @r2e8tly:

• Vaginal bleeding

• Regular/painful contractio­ns

• Amniotic fluid leakage

• Difficulty in breathing

• Dizziness

• Headache Strength exercises will help reduce the risk of back

pain during pregnancy.

Exercise is not recommende­d for pregnant women with severe anaemia.

• Chest pain

• Calf pain and swelling • Muscle weakness

If yo@ have these co8-itio8s, exercise is 8ot recomme8-e-. There are more risks than benefits.

ABSOLUTE (WHERE EXERCISE IS NOT RECOMMENDE­D)

• Significan­t heart disease

• Restrictiv­e lung disease

• Cervical incompeten­ce

• Multiple pregnancy at risk of premature

labo@r

• Persistent bleeding

• Placenta previa after 26 weeks

• Premature labour • Ruptured membrane • Preeclamps­ia • Severe anaemia

RELATIVE (WHERE RISKS ARE MORE THAN BENEFITS)

• Anaemia

• Cardiac arrhythmia

• Chronic bronchitis

• Poorly controlled Type-1

-iabetes

• Extreme morbid obesity • Extreme underweigh­t • Intrauteri­ne growth restrictio­n • Poorly-controlled hypertensi­on

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